MR. MICHAEL SECALLUS, FNP
Nurse Practitioner
Active
Individual
NPI: 1730787128
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | No | F339980-1 (NY) |
| Nurse Practitioner | 363L00000X | Yes | 339980 (NY) |
Frequently Asked Questions
NPI 1730787128 is the National Provider Identifier for MR. MICHAEL SECALLUS, FNP, a Nurse Practitioner provider located in Marathon, NY. This NPI was enumerated on October 16, 2020.
MR. MICHAEL SECALLUS, FNP practices at 20 EAST MAIN STREET, Marathon, NY 13803.
Quick Facts
- NPI
- 1730787128
- Type
- Individual
- Enumerated
- Oct 16, 2020
- Last Updated
- Jun 27, 2023
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